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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a z <br /> APPLICATION FOR LAND USE PERMITS <br /> � O <br /> n <br /> OWNER y �x-11- I ,W 711 ! TELEPHONE-:7) <br /> MAILING ADDRESS <br /> 30235 � Csc�Ss 5► ��3� � w � s��� � � � <br /> I <br /> PROPERTY ADDRESS <br /> k 14L0?-\/Pt Imo. PA LA. (k-f ' � 51� l E, <br /> LEGAL DESCRIPTION o <br /> l ti 1 2 CSvVI U Z�- �15cl Q%g52�1((sbV aoi I�Q-35t NUJ <br /> TYPE OFPERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ _ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> COMMERCIAL BUILDING ❑ COMMERCI L ADID�ITION NO COMMERCIAL ACCESSORY STRUCTURE ❑ S <br /> STRUCTURE/ADDITION USE: RPIf\ t1 .v\ <br /> JIJ o <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) 7 !, <br /> BUILDING CONTRACTOR: U% <br /> n <br /> O 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS p o <br /> WILL BE RETURNED. N <br /> E <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) o. <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, C a <br /> AND INDICATE NORTH (N). Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S) TO ALL LOT LINES, (B) BUILDING(S) �' 0 ° <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w 5 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. 1 p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES n <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. n rn <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. i <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. .z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. V <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. F <br /> 7. TAa000m g � <br /> n rt 3 3 3 <br /> I declare that this application (Including any accompanying schedule) has been examined by me and to the best of my9 El <br /> ° ° <br /> 3 . =. <br /> knowledge and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all w m =d� e <br /> information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I m ? a a= Y <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to n E ; oN: 8 <br /> have access to the above-described premises at any reasonable time for the purpose of inspect] S e 9 : in —w t7 <br /> OWNER'S SIGNATURE Ro g o 0 0 0 <br /> d m o� <br /> , ,I -��" nen : cep Qin - Z <br /> ZONING ADMINISTRATOR Abwy f../f ^ _ 3 <br /> _ gwNsntn <br /> y � m <br /> UU <br /> TO NSHIP P RMITS MAY BE REQUIRED (�� <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSQ, TTLOVNN g ' <br /> -ZONINO <br /> j N pN Vii� Vii O <br /> Vto p O O O O <br />